Barbara L Grevengoed, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6006 W 159TH Street
Oak Forest, IL 60452

Phone

(708) 535-7320

Fax

(708) 535-7571

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Genesis Therapy Center

  • Community/Behavioral Health Agency
  • Oak Forest, IL
  • NPI 1891020137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033252176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E 161ST PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731618",
            "telephone_number": "708-474-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 W 159TH STREET",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-535-7320",
            "fax_number": "708-535-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVENGOED",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Gertzen, M.D.
• Valerie Jean Gill-Taylor, DEVLOPMENTAL THERAPI
• Tamara Jeanne Good
• Vanessa Granato-Wagner, M.S., CCC-SLP/L
• Chaya Grant, FNP-C
• Lena T Halikias
• Daniel Halkin, P.T.
• Thomas Michael Halwax, D.C.
• Michael Hamarneh
• Malik Hammad

• Professional Counselor in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.